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2995 (SFD)
49151 Avenida Anselmo Desert Sands Unified School District 47-950 Dune Palms Road 1111111111111 Jill 69 Notice: La Quinta, CA 92253 1E Document Cannot Be Duplicated 760-771-8515 Date 8/21/01 No. 22399 Owner NameDan Hayes CERTIFICATE OF COMPLIANCE APN # 658-280-004 Jurisdiction La Quinta Permit # 0108-216 No. 49-151 Street Avenida Anselmo Log # city La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 90 Type of Development Residential Addition No. of Units 1 Comments SF addition at nook and wet abar at great room. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 90 or $ 0.00 the property listed above and that building ,I permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By EXEMPT -Dan Hayes TeYep6one-,760=564-5454 Name on the check By Dr. Doris Wilson Superintendent - Fee collected /exempted by Annette Barlow Signature ___) Exempt Check No. $0.00 JOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 9D -day approval period in which you may protest the fees or other payment identified ibove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ollect them on the Districtrs)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting J ti CJ AND WHEN RECORDED MAIL TO Name D. Paul FanSler Street P. O. Box 5030 Address Fresno, CA 93755 City & State I J MAIL TAX STATEMENTS TO r Name Same as above Street Address City & State L J I SPACE ABOVE THIS LINE FOR RECORDER'S USE CAT. NO. NN00586 Partnership Grant Deed TO 1925 CA (2-83) THIS FORM FURNISHED BY TICOR TITLE INSURERS I z The undersigned grantor(s) declare(s): 1 a ` Documentary transfer tax is $95.70 4 ( xx ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. j ( ) Unincorporated area: ( xx) City of La Quinta , and I FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, THREE B COMPANY a partnership organized under the laws of the State of California hereby GRANTS to iD. PAUL FANSLER, a married man as his separate property I the following described real property in the County of Riverside , State of California. Lot 130 of La Quinta Golf Club Estates #1, as per map recorded in Book 37, Pages 96 to 98 of Maps, in the office of the County Recorder of said county. 1 Dated: Marrh 1R., 1986 STATE OF CALIFORNIA COUNTY /OFA-TtntiQfL Ss. On �-v� ,.,: O I Q. '1 9 Re before me, the un ersigned, a Notary Public in and for said State, personallyappeared 0 1,9UO,,,, 'f3� arm personally known to me or proved to me on the basis of satisfactory evidence to be the person o e ce- cuted the within instrument as of the partners of the partnersfAp that executed the within instrument, and acknowledged to me that such partnership executed the same. WITNESS my hand and official seal. Signature Three B Compan By Partner By� Partner By Partner OFFICIAL SEAL EVA KHWAJA NOTARY PUBLIC -CALIFORNIA ORANGE COUNTY My Commission Expires Mar. 31, 1989 (This area for official notarial seal) Title Order No. Escrow or Loan No. % — -� 977 I MAIL TAX STATEMENTS AS DIRECTED ABOVE i 2 Z a 1 G: z Lo CID C C o 0 8 � ¢U JO cc ea ¢ U. 3 W f O ¢ �° Z i. QZ 0 ms¢ s (} }- `� c �' UJ O ¢ LL Q 'O cci ao�nj f0 CD oia Q WC o � a~�J tea¢to U Q j I SPACE ABOVE THIS LINE FOR RECORDER'S USE CAT. NO. NN00586 Partnership Grant Deed TO 1925 CA (2-83) THIS FORM FURNISHED BY TICOR TITLE INSURERS I z The undersigned grantor(s) declare(s): 1 a ` Documentary transfer tax is $95.70 4 ( xx ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. j ( ) Unincorporated area: ( xx) City of La Quinta , and I FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, THREE B COMPANY a partnership organized under the laws of the State of California hereby GRANTS to iD. PAUL FANSLER, a married man as his separate property I the following described real property in the County of Riverside , State of California. Lot 130 of La Quinta Golf Club Estates #1, as per map recorded in Book 37, Pages 96 to 98 of Maps, in the office of the County Recorder of said county. 1 Dated: Marrh 1R., 1986 STATE OF CALIFORNIA COUNTY /OFA-TtntiQfL Ss. On �-v� ,.,: O I Q. '1 9 Re before me, the un ersigned, a Notary Public in and for said State, personallyappeared 0 1,9UO,,,, 'f3� arm personally known to me or proved to me on the basis of satisfactory evidence to be the person o e ce- cuted the within instrument as of the partners of the partnersfAp that executed the within instrument, and acknowledged to me that such partnership executed the same. WITNESS my hand and official seal. Signature Three B Compan By Partner By� Partner By Partner OFFICIAL SEAL EVA KHWAJA NOTARY PUBLIC -CALIFORNIA ORANGE COUNTY My Commission Expires Mar. 31, 1989 (This area for official notarial seal) Title Order No. Escrow or Loan No. % — -� 977 I MAIL TAX STATEMENTS AS DIRECTED ABOVE w N eer'a N 1 ii30b00'J�� � olu.iopib0'6luno0uplUJOAldlo 0 spiwe" ISw1110 ul PBPIMU u 98611 -Aft 0 3GlS63Ald d0 w I.N've6NW3l1LLNV3IdBWV1.ShcA Z ko isenbay IV z -W,v iwmj0 of:8 IV a w 0 m Q w U IL N Y W w Q co Q O Z .. 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O U) } H Ir CL O U z w 2 w Q F - U7 J a T U a I 0 O J E a N U Z z Y U O rn O U w LL Q X3 �41SSI�001 �Ld d t dail QNy NI 0 rlgi� 9861 `�IHd S3NZIM NI n,jH I � 3p3H3Hi 3NyHvd _.. y3S oyNn3g3H 3 S 33HHZ NI �NOS33d QNB QNyH Kw ' 1� ��o Q3,i�i3ddd Oi ,I SINZ 3y3S �3g g30 SIHZ OZ �oNx HZ� 3� No y�Hs �3IZ yOIHySIQ QgIHs � 3g os 3 30 Kv CO 9861 ZIHd ss ��lSv3d 30 'AIV IS � 34A 33033$ OD W ON Z O H U W Cl) io Z O H U U-1 Cn Cn Y cr Q U-1 lr X COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION_OJT PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. / - Building Department Application Log # le r y Name (Owner, Agent, Contractor, Etc.) Mailing Address { City t State Zip Code Telephone J, 'Job Property Address 'City or Community Legal Description of Property. (Lot, PM, TR) f � a 'Assessor's Parcel No. Water Agency or Well Lot Size Use of Permit Planning Case # J . t i' '� 1y, - •- r? SFD, MH Site Preparation Etc. Signature of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial ` Date Certification of Existing S.D. System required. ❑ Yes No �� ' 3 �i 1 7 WQCB Clearance required. ❑ Yes No Soils feasibility report required. ❑ Yes No Detailed boring report required. ❑ Yes 4 No Detailed contour plot plans required. ❑ Yes 9 No E)Staff Specialist approval required. Yes No Lot Inspection Date Soils/boring report by t� Project # Date Soils Map Page Soil Type Approved by Date Type of System: No. of Bedrooms (1) Septic Tank Soil Rate ElExisting '� New ❑ Additional ❑ Replacement > t.v�., 3) --1 ks icGX. ?up Gals. tRequired ""` ��� Z (2) Leach line sq. ft. Sidewall allowance Install—Line(s) Ft. Long, Leach bed Sq. (Bottom tren I urea) f� ft. rock/ / Sq. Ft. Ft. wide with mi inches Ft. of bottom per running ft. ❑ N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable ❑ 5 ©6 G 14 le Max. allowable depth N/A Overburden�tor T L� • This application is pproyed)denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for the installation of the above -designed system. c,(1) Septic tank and sewer lines must be 50' from any wells (2) Leach lines must be 100' min. from any wells including expansion area ,(3)) Seepage pits_rr)ust,be 150' min. from ariy wells including expansion area f _. .. t > r F•. ,,., VJ Signature of Health Official Date ' RECEIPT NO. ' Issued by Date J`t r•;, 7 District: ❑ Riverside ®'Indio El Hemet El Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 6/86) y w-- -7-t, 78-105 CALLE ESTAD• - LA QUINTA, CALIFORNIA 92253 (619) 564.2246 TO: All Permit Applicants FROM: City of la Quinta, DATE: February 9, 1987 SUBJECT: PROTECTION OF UNDERGROUND INSTALLATIONS AS MANDATED BY AB 3020 Prior to the issuance of a permit which involves any type of excavation, the Applicant must provide the City of La Quinta with an ''nquiry.*f!Af'issued by a regional notification center: The notification center for this area is: UNDERGROUND SERVICE ALERT 2 8 1-800-422-4133 Excavation is defined as any movement of earth by grading, trenching, digging, ditching, drilling, augering, tunneling, scraping, cable or pipe plowing and driving, or any other way. TH:dmv cc: File, Underground Installations (Alpha) MEMOTH6 MAILING ADDRESS • P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 N H O 7d o . e+ �k